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I <br /> NOTE: PULL ALL:)-ERMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007226 <br /> DATE RECEIVED by EHD: June 11,2008 APPL#: PA-0800177 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> COMPLETE&SUBMIT BY: ASA V, <br /> LOT LINE ADJUSTMENT(LA) <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: SIS KETTLEMAN LN E/O WELLS , LODI APN : 06105005 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ��'' <br />[ recommend: Approval Denial Continuance Inspec r: <br /> Sig ature <br /> 5_upervisor/Lead Senior COMMENTS: <br /> i <br />►UPERVISOR/LEAD SENIOR Approval: Date: <br /> # P�raofread ltepbrt? 'Y ,` Carie t LANDS <br /> OA Il.0 eck Off�Lrst� � � � V � #_ <br /> s �C " <br /> VsE <br />:H 06 06 Report 47201 June 11,2008 <br />